Blair, Laurel J
Blair, Laurel J is an individual health care provider with primary practice located at 10001 S Eastern Ave Ste 201 , Henderson NV 89052-3908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Blair, Laurel J can be contacted via phone (702) 914-2420.Contact Information
Primary practice address
10001 S Eastern Ave Ste 201
Henderson NV 89052-3908
Phone: (702) 914-2420
Fax: (702) 914-6653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2013-02433 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MT194435 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 16517 | Nevada |
Profile Details
| NPI number | 1750510855 |
|---|---|
| LBN Legal business name | Blair, Laurel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Jul 16th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750510855 | NPPES |
| Pennsylvania | Other | MD443811 | PA LICENSE |
| Pennsylvania | MEDICAID | NC2131 | PA LICENSE |
| Pennsylvania | Other | 2013-02433 | PA LICENSE |
| Pennsylvania | MEDICAID | 1750510855 | PA LICENSE |
| Pennsylvania | Other | MT194435 | PA LICENSE |
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